Livio Pereira de Macedo;Delson Culembe Baptista-Andre;rlindo Ugulino-Netto;Kaue Franke;Pierre Vansant Oliveira Eugenio;Auricelio Batista Cezar-Junior;Igor Vilela Faquini;Eduardo Vieira de Carvalho-Junior;Nivaldo S. Almeida;Hildo Rocha Cirne Azevedo-Filho
Journal of Cerebrovascular and Endovascular Neurosurgery
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v.26
no.2
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pp.216-222
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2024
Dissecting posterior inferior cerebellar artery (PICA) aneurysms are uncommon lesions. Their anatomy and the location of the dissection are variable, however, they usually occurs at the origin of the PICA. Dissecting PICA aneurysms generally have non-vascular morphology involving an entire segment of the artery and cannot be cut. Nevertheless, the detection of these vascular lesions has increased latterly, so it is necessary to recognize it and take the appropriate management modalities for these injuries. In this report, we describe a case of a 73-year-old male patient, who presented a history of severe headache, associated with neck stiffness, nausea, vomiting, dizziness, hypoactivity, mental confusion, and walking difficulty. Radiographic investigation with brain computed tomography (CT) showed mild bleeding in a pre-medullary and pre-pontine cistern, and cerebral angiogram showed a dissecting PICA aneurysm. Despite being a challenging treatment, microsurgery management was the chosen modality. It was performed an end-to-end anastomosis between the p2/p3 segments, showing to be effective with good clinical and radiographic outcomes. We discussed an unusual case, reviewing the current literature on clinical presentations, the angiographic characteristics of the dissecting aneurysms of PICA, and evaluating the clinical and angiographic results of patients undergoing microsurgical treatment.
Journal of the Korean Institute of Landscape Architecture
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v.36
no.4
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pp.83-99
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2008
Images of Seong-Nam appears different according to diverse conditions. This study was intended to analyze the differences of cognition by personal characteristics such as age, gender, location, and period when an individual evaluates an urban image. This research focused on the interpretation of the visualized results from Multidimensional Scaling (MDS) and Individual Difference Scaling (INDSCAL) with two questionnaires. This study can be summarized as follows: 1. Namhan Sansung was ranked as the first symbolic property by citizens in Seong-Nam. Next was Yuldong Park, followed by Bundang Central Park, Seohyun Station including Samsung Plaza, and, finally, Moran Market. This trend also similarly appeared in the selection of preferred places. 2. There were no statistical differences in trends of choice of symbolic landmarks and preferred places according to age, gender, and period; however, there were meaningful differences according to location. 3. The total image of Seong-Nam was positioned to be separated from images of other districts and landmarks on the image spatial plot by MDS; however, images of the old and new district were plotted close to symbolic landmarks where located around each district. 4. INDSCAL illustrated that men weighted the historical meaning while women weighted preference and city size when evaluating an urban image. On the other hand, there was no difference in cognitive trends according to age, location, and period. Until now, an individual difference in the cognition and evaluation of an urban image was a socially accepted notion. However, this study verified the difference according to personal characteristics and developed a practical tool to analyze an individual cognition trend about a city image.
Journal of the Korean Institute of Landscape Architecture
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v.42
no.4
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pp.37-47
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2014
This study aims to examine the usage of and satisfaction with neighborhood parks and university campuses and compare through the RPRS analysis of them to figure out how university campuses, as substitutive green spaces, play the role of curative environment for neighboring people. This study relied on two methods: a descriptive method of researching publications and related scholastic writings and an empirical study of researching how the park and campus has been utilized and researching whether the residents are satisfied with the currently existing space and the environment or not, and finally researching how the university campus open space as a curative environment impacts the satisfaction and utilization through reliability analysis. As a result, contribution of healing environment has a relatively high average contribution of 4 or more points, respectively. These results suggest that urban people think that a relationship between man and nature is very important in the overabundance of stress in modern society. It shows that neighborhoods are higher than university campuses in the explanatory of the Attention Restoration Theory, but the campus is higher than the neighborhood park in similarity of configuration. The result of RPRS analysis shows that the therapeutic qualities of the landscape may be very useful to evaluate a college campus open space in "the Revised Perceived Restoration Scale." The results showed that, in future studies, it will be a great help by widespread use of pre-evaluation of the characteristics of restorative environments in the planning, design and other works. To study the impact of the curative features on evaluating future research locations, the location should provide a variety of purposes and motives. At the same time, it should provide specific design ideas to design-related designers by using perceived restoration scale.
Vertical electrical sounding and 2D electrical resistivity survey were applied for evaluating the characteristics of alluvial layers at a groundwater artificial recharge site. The fine particles in alluvial layer, main target layer of groundwater artificial recharge, may cause clogging phenomena. In this case, electrical resistivity method is an effective technique to verify the spatial distribution of low-resistivity layers, such as saturated silts and clays. On the other hand, much attention should be paid to interpret the resistivity data in unconsolidated layers, because thick clayey overburden sometimes produces a masking effect on underlying interbedded resistive sands and gravels. Considering these points, we designed 35 points arranged in a grid form for vertical electrical sounding and 10 lines for 2D electrical resistivity survey, and concentrated our effort on enhancing the vertical and horizontal resolution of resistivity images. According to the results, 15 meters thick layers consisting of sands and gravels are located in 30 meters below ground. And the spatial distribution of silts and clays are mapped, which may cause clogging. Consequently, this approach can contribute to design and determine the location and depth of injection and observation wells for groundwater artificial recharge.
Journal of the korean academy of Pediatric Dentistry
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v.42
no.1
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pp.53-61
/
2015
This study was conducted for the purpose of evaluating the stainless steel crowns on extracted primary molars and thus identifying frequent errors and defects. Visual assessment and micro-computed tomography (micro-CT) image analysis were performed on 97 primary molars for evaluation of the state of marginal adaptation, cement loss, secondary caries, ledge formation, attritive perforation and marginal polishing defect. The results were as follows: In the examination of object teeth by evaluation criteria, cement loss was found most frequently (98%), followed by secondary caries (42.3%), marginal polishing defect (41.2%), ledge formation (29.9%) and attritive perforation (17.5%), in this order. The cement loss at the margins showed a significant relationship with marginal gap and secondary caries: the larger the marginal gap is, the more frequent is the cement loss (p < 0.05). The average marginal gap was $0.31{\pm}0.26mm$ and showed the highest value in the maxillary 2nd primary molars. The location of the crown margin above the cementoenamel junction was found most frequently and it was found that the higher the crown margin is located, the less the marginal gap becomes (p < 0.05). In conclusion, it is thought very desirable to pay closer attention to crown margins and shapes for stainless steel crown restoration in order to minimize the marginal gaps and consequent cement loss.
Hyeong, Joon Ho;Kim, Sa Yup;Roh, Jong Ryun;Park, Seong Bin;Chung, Kyung Ryul
Transactions of the Korean Society of Mechanical Engineers B
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v.39
no.6
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pp.535-540
/
2015
The location of the pivot between the backrest and seat pan of a reclining chair should be identical to the hip joint center to prevent unpleasant user experiences during tilting motion. However, mechanical friction occurs in the pin-in-slot joints that are installed under the seat pan as an alternative to the hinge joint. This reduces the reaction force between the backrest and the occupant's back when reclining and returning to an upright position, which causes the occupant's discomfort. In this study, bearings, rollers, and sliders were suggested as alternatives for the pin component, and the percentage of the reaction force on the backrest was measured while reclining the backrest and subsequently returning it to an upright position. The results show when bearings, rollers, and sliders were used for the pin-in-slot joint, the percentages of the reaction force were $59.7{\pm}10.3$, $47.2{\pm}13.6$, and $30.3{\pm}18.1$, respectively, indicating that the friction of the bearing was the lowest among the three pin components. Because the three alternatives have different manufacturing costs, synthetic judgment requires the consideration of not only mechanical friction but also user experience.
Park, Kibong;Lee, Daewoo;Kim, Jaehwan;Yang, Yeonmi;Kim, Jaegon
Journal of the korean academy of Pediatric Dentistry
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v.43
no.3
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pp.246-253
/
2016
The optimal time for the removal of supernumerary teeth can be divided into two groups; early removal and late removal. While each group has its own advantages, the effects on maxillary central incisor can be significant. The purpose of this study was to determine the ideal time for the removal of the supernumerary teeth by evaluating 166 patients for three months after surgical removal of supernumerary teeth. Relatively young patients in early Hellman's dental stage with less developed or unerupted maxillary central incisor had less midline deviation. No statistical significance was found in diastema, rotation of the maxillary incisors and their changes during a follow-up period. Removal of supernumerary teeth should be considered as a preventative measure prior to eruption of the maxillary incisors when the midline deviation is observed in panoramic radiographic examination. This study will be useful in determining the optimal time for the removal of supernumerary teeth depending on the location of the maxillary incisors. This study will be informative on deciding the optimal time to remove the supernumerary teeth depending on the various positions of the maxillary central incisor. (this sentence is better to use)
In this paper, we propose an DAP system for dose evaluation of medical and industrial X-ray generator. Based on the DAP measurement technique using the Ion-Chamber, the proposed system can clearly measure the exposure radiation dose generated by the diagnostic X-ray apparatus. The hardware part of the DAP measures the amount of charge in the air that is captured by an X-ray. The high-speed processing algorithm part for cumulative radiation dose measurement through microcurrent measures the amount of charge captured by X-ray at a low implementation cost (power) with no input loss. The wired/wireless transmission/reception protocol part synchronized with the operation of the X-ray generator improves communication speed. The PC-based control program part for interlocking and aging measures the amount of X-ray generated in real time and enables measurement graphs and numerical value monitoring through PC GUI. As a result of evaluating the performance of the proposed system in an accredited testing laboratory, the measured values using DAP increased linearly in each energy band (30, 60, 100, 150 kV). In addition, since the standard deviation of the measured value at the point of 4 division was ${\pm}1.25%$, it was confirmed that the DAP showed uniform measurements regardless of location. It was confirmed that the normal operation was not less than ${\pm}4.2%$ of the international standard.
Journal of the Economic Geographical Society of Korea
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v.1
no.2
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pp.71-84
/
1998
Health has been seen as a resource necessary for both maintaining oneself and for living in a society pursuing high quality of life. Therefore, the medicare provision takes place of one of the most significant indexes for evaluating the regional welfare level. The purpose of this study is to investigate the locational characteristics of medicare service facilities. For the purpose, the distribution patterns of the medicare resources are analyzed both at the regional and local scales. The medicare resources are concentrated at the Metropolitan Seoul area in the regional scale, and they are also concentrated at the economic core areas in the local scale. Especially, higher level medicare resources, such as the general hospitals and medical specialists, show more concentration at the economic core areas than lower level services. This means that access to opportunities to receive higher level medicare is poorer in a more socially disadvantaged area. Since medicare service facilities are invested and operated by both private and public sectors, whose locational mechanisms are deferent, we analyzed the distribution patterns. Most medicare facilities are invested and managed by private sector in Korea, which is operated by market mechanism. This is related with the fact that the medicare facilities are concentrated at the economic core areas. The proportion of private sector is higher in the Metropolitan Seoul area, and thus this region shows stronger spatial disparity of medicare provision. In general, the medicare service facilities are located in the hierarchical structure, and thus the services levels and facility scales are differentiated by the hierarchy. We examined the hierarchical structure in the medicare service facilities in Korea. The referral medicare system has been applied with the assumption of the three level hierarchical structures in Korea. However, we could not find any distinct hierarchical structure in the scales of the medical service facilities.
Objectives: To investigate in depth the use of complementary and alternative medicines (CAMs) by cancer patients at the end-of-life (EOL) and how they communicate with physicians about them. Design and location: In 17 hospitals in Korea between January and December 2004 we identified 4,042 families of cancer patients. Results: The prevalence of CAM use among cancer patients at the EOL was 37.0%, and 93.1% had used pharmacologic types of agents. The most frequent motive for CAM use was the recommendation of friends or a close relative (53.4%) or a physician (1.6%). Only 42.5% discussed CAM use with their physicians. Satisfaction with CAMS was recalled for 37.1%. The most common reason given for that satisfaction was improvement of emotional or physical well-being, while ineffectiveness was the most common reason given for dissatisfaction. The average cost of CAM during the last month of life was $US 900. CAM use was associated with longer disease periods, primary cancers other than liver, biliary, and pancreatic, and need of support from physicians or religion. Conclusions: CAM use among cancer patients at the EOL was common, not discussed with physicians, and associated with expectation of cure. Expectations were generally unmet while the treatments were a financial burden. Further studies evaluating the effects of CAM at the EOL and factors that enhance communication with the physician are needed.
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